缩窄性心包炎外科治疗72例临床分析

Surgical treatment of constrictive pericarditis:experience in72cases

目的探讨外科手术治疗缩窄性心包炎的经验。方法对72例缩窄性心包炎病人的外科治疗情况进行总结分析。结果72例术后1个月心功能Ⅰ级(59例)、Ⅱ级(11例)。1例术中死于急性心肌膨胀,1例术后死于低心排综合征。结论心包切除程度、手术时机、手术方法是此类手术成功的关键。

Ourexperiencewiththesurgicaltreatmentof constrictivepericarditisin72casesis reported.Thepatientsreceiving surgicaltreatmenthad theircardiacfunctionimprovedto NYHAclassⅠin59casesand classⅡin11cases,and death occurredduringtheoperationin1caseandaftertheoperationin anothercasedueto myocardialexpansionandlow cardiac outputsyndrome,respectively.Thekeyelementsto ensuresuccessof thesurgerieslieintheextentof pericardiectomyandthe timeandapproacheschosenfortheoperation.